Provider Demographics
NPI:1326348376
Name:MCBRIDE, LAURIE E (LCSW)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:E
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 E 100 S STE 202
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-3495
Mailing Address - Country:US
Mailing Address - Phone:435-222-9022
Mailing Address - Fax:
Practice Address - Street 1:32 E 100 S STE 202
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3495
Practice Address - Country:US
Practice Address - Phone:435-222-9022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5360086-3503104100000X
UT5360086-350104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker